| NPI | 1730613985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121803) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97664) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-08-16 |